The role of suicidal mental imagery and experiential avoidance in suicidality: an exploratory study.

IF 1.6 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Behavioural and Cognitive Psychotherapy Pub Date : 2025-06-01 Epub Date: 2025-03-25 DOI:10.1017/S1352465825000037
Hannah Maynard, James D Gregory, Andrea Davies, John R E Fox
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Abstract

Background: Although research has highlighted that suicidal imagery (SuiMI) and experiential avoidance (EA) are important in understanding suicidality, there is a need to understand how they potentially interact. Previous research has highlighted that EA potentially leads to increased cognitive intrusions, but it not known whether EA leads to increased SuiMI.

Aims: The purpose of this study was to explore the influence of SuiMI and EA on suicidality (i.e. encompassing thoughts, behaviour and suicide attempts). It was hypothesised that greater frequency of SuiMI would be associated with greater EA. It was also hypothesised that greater SuiMI would be associated with greater suicidality, and that EA would moderate this relationship.

Method: Hypotheses were tested by surveying 197 general university students who completed self-report measures that assessed suicide-related mental imagery (i.e. Suicidal Imagery Questionnaire, SIQ), experiential avoidance (i.e. Multi-dimensional Experiential Avoidance Questionnaire, MEAQ) and suicidality (i.e. Suicidal Behaviours Questionnaire-Revised, SBQ-R).

Results: Frequency of SuiMI was positively correlated with the tendency to engage in EA. SuiMI was a significant predictor of both suicidality and EA. Exploratory analysis found that voluntary SuiMI explained greater variance in suicidality than intrusive, involuntary SuiMI, and that SuiMI only predicted EA in low-risk participants and not for those at high risk of suicide. EA did not predict suicidality and it also did not show any moderating effect on the relationship between SuiMI and suicidality.

Conclusion: There is evidence to suggest that suicide-related mental imagery may play an important role in suicide risk and more specifically imagery that is voluntarily engaged with. Future research is needed to explore the different types of imagery in relation to suicidal ideation in populations at higher risk of suicide.

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自杀心理意象和经验回避在自杀行为中的作用:一项探索性研究。
背景:虽然研究强调自杀意象(SuiMI)和经验回避(EA)在理解自杀行为中很重要,但有必要了解它们是如何潜在地相互作用的。先前的研究强调,EA可能导致认知入侵增加,但尚不清楚EA是否会导致SuiMI增加。目的:本研究的目的是探讨SuiMI和EA对自杀行为(即包括思想、行为和自杀企图)的影响。假设越频繁的SuiMI与越严重的EA有关。也假设SuiMI越大与越严重的自杀倾向有关,而EA会缓和这种关系。方法:通过对197名普通大学生进行自杀相关心理意象(自杀意象问卷,SIQ)、体验回避(多维体验回避问卷,MEAQ)和自杀倾向(自杀行为修正问卷,SBQ-R)自述测试,对假设进行检验。结果:自杀频率与自杀倾向呈正相关。自杀是自杀和自杀倾向的重要预测因子。探索性分析发现,自愿自杀比侵入性、非自愿自杀解释了自杀倾向的更大差异,而且自杀只预测了低风险参与者的自杀倾向,而对自杀高风险参与者没有影响。EA不能预测自杀倾向,也没有显示出任何调节SuiMI和自杀倾向之间关系的作用。结论:有证据表明,自杀相关的心理意象可能在自杀风险中起重要作用,更具体地说,是自愿参与的意象。未来的研究需要探索在自杀风险较高的人群中不同类型的图像与自杀意念的关系。
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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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